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v1.0.0
ICD-10 Guide
DiagnosesGenital Herpes

Genital Herpes

ICD-10 Coding for Genital Herpes(A60.0, A60.01, A60.04)

PRIMARY SPECIALTYOB/GYN
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Genital Herpes?
Essential facts and insights about Genital Herpes

Key Clinical Considerations:

  • Painful blisters or sores in the genital area
  • Presence of herpes simplex virus (HSV) in lesion swabs
  • Tender lymphadenopathy in the groin

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history of previous outbreaks
  • Description of lesions and symptoms
  • Results of laboratory tests confirming HSV

Coding Guidelines

Usage Guidelines & Examples

  • Follow guidelines for primary vs. recurrent infections.
  • Common errors include misclassifying the type of infection.

Code Exclusions

Important Exclusions

  • Other viral infections of the genital area
  • Non-herpetic lesions

Related ICD-10 Codes

Primary Codes
A60.00
Herpesviral infection of the genital area, unspecified
A60.01
Herpesviral infection of the genital area, primary
A60.02
Herpesviral infection of the genital area, recurrent
Ancillary Codes
Z11.3
Differential Codes
B37.3

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

OB/GYN

Specialty Applications

  • Adults and adolescents with genital symptoms
  • OB/GYN clinics and urgent care settings

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Document patient history, symptoms, and lab results.

Billing considerations?

Ensure accurate coding based on the type of herpes infection.